Individual
DIAMOND M QUICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1500 SPRUCE ST, PHILADELPHIA, PA 19102-4502
(866) 389-2727
Mailing address
1500 SPRUCE ST, PHILADELPHIA, PA 19102-4502
(215) 479-4653
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP026485
PA
Other
Enumeration date
12/14/2022
Last updated
08/07/2023
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